| NPI | 1104582931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA GAA-NP000359) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA NP000359) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2023-05-11 |